NPI 1003609546
Optimal Behavioral Services LLC
Practice location
- Address
- 3523 45th St S STE 100, Fargo, ND 58104-8962
- Phone
- (602) 430-9646
- Mailing address
- 11418 W Rosewood Dr, Avondale, AZ 85392-3421
Authorised official
- Name
- Dr. Lameck John Nyakweba
- Title
- Executive Director
- Phone
- (602) 430-9646
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003609546
- Entity type
- Organization
- NPI issued
- 27 May 2025
- Record last updated
- 27 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.